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Individual

KISHOR D PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
225 HOSPITAL DR, TYRONE, PA 16686-1802
(814) 684-3101
(814) 684-5539
Mailing address
225 HOSPITAL DR, TYRONE, PA 16686-1802
(814) 684-3101
(814) 684-5539

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD046182L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012958790003
PA
Enumeration date
01/26/2006
Last updated
01/27/2016
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